8,595 results match your criteria: "Ependymoma"

Radiation therapy plays a vital role in the management of primary spinal tumors in adults. However, due to the rarity of these tumor types, the literature on optimal treatment indications and radiation doses is limited. Many treatment recommendations are extrapolated from their cranial counterparts, where more data are available.

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Spinal ependymal tumors.

Neurooncol Adv

October 2024

Department of Neurosurgery, University Medical Center Hamburg Eppendorf, Hamburg, Germany.

Spinal ependymomas are strictly to be subdivided into intramedullary lesions and extramedullary lesions as they are histologically and genetically distinct. Whereas the intramedullary lesions (SPE) are assigned to the WHO grade 2 and very rarely grade 3, the extramedullary lesions or myxopapilary tumors (MPE) are only as recently also assigned to WHO grade 2. The major difference is that in general, an intramedullary lesion of grade 2 remains confined to the local site of origin, even when rarely recurring after complete resection.

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Glial transformation of a DNET: About a case.

Radiol Case Rep

January 2025

Radiology Department, Faculty of Medicine and Pharmacy, Specialities hospital, Mohammed V University, Rabat, Morocco.

Dysembryoplastic neuroepithelial tumors (DNETs) are benign cortical tumors frequently associated with medically incurable focal epilepsy. These tumors occur most commonly in children. Given the fact that they rarely become malignant, the long-term prognosis in terms of mortality is excellent, however its similar appearance with other tumors of the central nervous system increases the potential for misdiagnosis and the risk of a pejorative clinical evolution.

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Article Synopsis
  • Spinal astroblastoma is a rare and aggressive tumor primarily found in children, with this study presenting a unique case involving a specific genetic fusion, EWSR1-BEND2.
  • An 8-year-old girl, initially misdiagnosed, underwent extensive previous treatments before her tumor was finally identified as a high-grade neuroepithelial tumor.
  • Despite surgery resulting in some recovery of hand function, the patient experienced a rapid cancer relapse, leading to palliative care after her condition worsened significantly.
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We wanted to present a rare case of metastatic grade 2 spinal ependymoma with an atypical course at the time of diagnosis. Temozolomide plus capecitabine chemotherapy was started in May 2018 on a 30-year-old female patient with sacral ependymoma who had extensive lung metastases at the time of diagnosis. The patient remained in remission for approximately 29 months, and the current chemotherapy was continued until it progressed in November 2020.

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Craniospinal irradiation using pencil beam Scanning: The PSI experience.

Phys Med

November 2024

Center for Proton Therapy, Paul Scherrer Institute, ETH Domain, CH-5232 Villigen, Switzerland; Department of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Radiation Oncology, University Hospital of Zürich, Zürich, Switzerland.

Article Synopsis
  • The study evaluated craniospinal irradiation (CSI) treatments using protons at the Paul Scherrer Institute, focusing on local recurrences and late toxicity outcomes for 71 patients, mostly children and young adults with tumors like medulloblastoma and ependymoma.
  • Data from patients treated in both prone and supine positions were analyzed, revealing that supine positioning led to lower systematic and random errors in treatment setup, resulting in more accurate dosing.
  • The research concluded that local failures in treatment were not linked to inaccuracies in radiation dosing, and there was no observed correlation between treatment-related toxicities and increased radiation effects.
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  • A systematic review was conducted to evaluate the use of stereotactic radiosurgery (SRS) specifically in pediatric patients, aiming to inform guidelines by the International Stereotactic Radiosurgery Society (ISRS).
  • The study analyzed 68 articles focusing on outcomes for around 400 children with brain tumors and over 5000 with arteriovenous malformations (AVMs) from 1989 to 2021, reporting varying local control rates for different tumor types.
  • The findings indicated that SRS demonstrated suitable local control rates for pediatric brain tumors and AVMs, but data availability is limited, leading to the development of ISRS consensus guidelines for its use in this population.
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Myxopapillary ependymoma (MPE) is a rare, slow-growing tumor that commonly arises in the lumbosacral region of the spinal cord, within the filum terminale and cauda equina. The frequent presentation of MPE is back, sacral, or leg pain. The tumor's size, site, and extension usually influence these symptoms.

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  • A new study evaluated a modified DNA/RNA panel for diagnosing gliomas, aiming to include fusion gene detection based on the latest WHO classification system.
  • Out of 210 glioma cases analyzed, 35 showed fusion genes, with notable fusions in glioblastomas and IDH-mutant astrocytomas.
  • The findings indicate that this bimodal panel is a reliable tool for detecting crucial genetic alterations, supporting better diagnosis and treatment planning for brain tumors.
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  • Spinal Ependymoma (SP-EP) is the most common tumor in the spinal cord, and early diagnosis can significantly improve patient outcomes, which led to a study focused on analyzing RNA sequencing data to identify crucial genes associated with the disease and develop a prognostic tool.
  • The study used data from the Gene Expression Integrated Database (GEO) to find differentially expressed genes (DEGs) between SP-EP tumors and normal controls, incorporating machine learning to pinpoint immune-related genes and using patient data from the SEER database to find predictive factors affecting survival.
  • A total of 5,151 DEGs were identified, with further analysis pointing to their involvement in essential cellular functions such as cell cycle regulation, ultimately leading
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  • The study focuses on improving the treatment of cancers in children by exploring metabolic markers for early detection of complications.
  • It involved three patient groups: healthy children, children with various cancers without complications, and those with complications such as infections.
  • Key findings showed that children with cancer had significant metabolic issues and that certain biomarkers like procalcitonin and presepsin were effective in predicting the risk of sepsis early on.
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  • There has been an increase in early onset cancer rates (under 50) since 1995, particularly among adolescents and young adults (AYAs) aged 15-39, who tend to have different types of tumors compared to children and older adults.
  • The study analyzed data from January 2016 to December 2021 using the SEER 22 database to assess age-adjusted incidence and mortality rates for various cancers by factors like sex, race, and geographic region.
  • Overall cancer incidence and mortality rates remained stable during this period, with a decline in certain cancers (e.g., ependymoma and melanoma) and increases in others (e.g., gastrointestinal cancers), highlighting the unique cancer trends and health issues faced
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Article Synopsis
  • The study aims to create a machine learning nomogram that helps differentiate between two types of brain tumors: supratentorial extraventricular ependymoma (STEE) and supratentorial glioblastoma (GBM).
  • Researchers analyzed MRI data from 140 patients and tested various machine learning algorithms, finding that the TreeBagger algorithm provided the best results for tumor classification.
  • The developed nomogram, which combines the rad-score from the best algorithm and clinical predictors, showed strong accuracy in distinguishing the tumors, making it a potentially useful tool for clinicians.
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Introduction: Posterior fossa tumors are significant in pediatric neurooncological populations due to their frequency and morbimortality. We convey a 10-year experience managing pediatric posterior fossa tumors at two reference centers in Cameroon.

Materials And Methods: We conducted a cross-sectional study with data collected retrospectively in the Neurosurgery Department of the Central and General Hospitals of Yaounde from January 2010 to December 2019.

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Superficial siderosis (SS) is an infrequent condition characterized by hemosiderin deposition in the central nervous system, resulting from chronic subarachnoid hemorrhage, often linked to dural mater diseases. Through a case report of a 50-year-old male with severe sensorineural hearing loss and newly diagnosed epilepsy, we explore SS triggered by a spinal ependymoma, diagnosed via resonance magnetic imaging (MRI). This case highlights the necessity of comprehensive neuroaxis imaging to identify treatable etiologies.

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Conditional survival estimates for ependymomas reveal the dynamic nature of prognostication.

Discov Oncol

September 2024

Department of Neurosurgery, Shaoxing Central Hospital, The Central Affiliated Hospital, Shaoxing University, Shaoxing, Zhejiang, China.

Background: Traditional survival analysis is frequently used to assess the prognosis of ependymomas (EPNs); however, it may not provide additional survival insights for patients who have survived for several years. Thus, the conditional survival (CS) pattern of this disease is yet to be further investigated. This study aimed to evaluate the improvement of survival over time using CS analysis and develop a CS-based nomogram model for real-time dynamic survival estimation for EPN patients.

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Case report on an extremely rare type of ependymoma arising from the thigh.

Int J Surg Case Rep

October 2024

Department of Orthopaedic Surgery, Hiroshima University, Graduate School of Biomedical and Health Sciences, Hiroshima, Japan. Electronic address:

Introduction: Ependymomas are neuroepithelial neoplasms of the central nervous system that arise from the precursor cells lining the ventricular system and the central canal of the spinal cord. Herein, we report a case of an extremely rare type of ependymoma arising from the thigh. Then, a literature review was performed.

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The Many Faces of Myxopapillary Ependymomas.

AJNR Am J Neuroradiol

March 2025

Clinique des Grangettes (M.I.V.), Hirslanden, Geneva, Switzerland.

Article Synopsis
  • Myxopapillary ependymomas (MPE) are rare, grade 2 spinal tumors known for their slow growth and benign nature but have a high recurrence risk and can spread through cerebrospinal fluid.* -
  • This study analyzed MRI characteristics and histopathological patterns in 13 patients with MPE, focusing on tumor location, size, signal intensity, and enhancement features.* -
  • Findings revealed typical MRI features such as T2 hyperintensity and contrast enhancement, with larger tumors often showing a microcystic pattern, while smaller tumors were usually solid, indicating a possible connection between tumor characteristics and histopathological patterns.*
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Article Synopsis
  • * Activin A Receptor Type 1 (ACVR1) is crucial for bone morphogenetic protein signaling and is linked to rare conditions like fibrodysplasia ossificans progressiva and diffuse intrinsic pontine glioma due to specific genetic mutations.
  • * Bioinformatics analyses identified seven destabilizing mutations in ACVR1 that may affect protein function and are associated with various cancers, suggesting they could be important for future studies in precision medicine for rare diseases.
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Article Synopsis
  • Direct administration of chemotherapy into the fourth ventricle is a new method aimed at treating kids with recurrent malignant brain tumors in the posterior fossa.
  • The chapter reviews the reasoning behind this drug infusion strategy, shares results from animal studies that showed it is safe and effective, and highlights its promising impact on human trials.
  • It also outlines ongoing clinical trials testing different drugs for this treatment and suggests future research directions for improving outcomes.
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Supratentorial and Infratentorial Ependymoma.

Adv Tech Stand Neurosurg

September 2024

Neurosurgery and Pediatrics, George Washington University School of Medicine, Washington, DC, USA.

Article Synopsis
  • * MRI is essential for diagnosing and planning treatment, with complete surgical removal being critical for long-term success.
  • * New genetic classifications of ependymomas may help tailor treatments, with some subtypes showing poorer outcomes, especially in younger children, emphasizing the need for targeted therapies.
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Almost any primary or metastatic brain tumour can manifest in intraventricular (IV) locations. These tumours may either originate within the ventricular system or extend into the IV space through growth. Such neoplasms represent a broad spectrum, with supratentorial IV tumours forming a heterogeneous group.

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